Nose Surgery – Rhinoplasty

Natural defects or trauma to the nose can significantly alter your nasal appearance. A nose that is disproportionately sized or oddly shaped can have a negative impact on how you view yourself. As the focal point of the face, nasal structure plays an important role is creating an overall attractive facial appearance. If you wish to dramatically improve your appearance by enhancing your nose, rhinoplasty can sculpt a new nasal structure to restore balance and facial beauty. In his practice, Mr Gwanmesia now uses a modern 3D device that enables him to achieve a nasal appearance that allows for the restoration of natural facial balance and harmony.

Enhance Your Facial Appearance

An overly large or crooked nose can detract from your facial appearance, and an extremely small nose may make the face appear unbalanced. Most patients seeking rhinoplasty wish to improve the size or shape of their nose to restore a more proportional and attractive facial appearance. Cartilage may be removed, repositioned, or added to custom-shape your new nasal structures.

Nasal bridges can be poorly shaped due to genetics or due to improper healing following trauma. A deformed nasal bridge can result from a wide or dented appearance. Rhinoplasty is designed to narrow and smooth the bridge of the nose. Additionally, a drooping nasal tip can lead to a more prominent-looking nose. Your nose surgery can address the size or shape of your nasal tip by adjusting its overall shape and projection.

Mr Gwanmesia’s goal for any rhinoplasty is to craft a nose that both enhances your facial appearance and provides completely natural-looking results. Targeting key nasal structures during your surgery will help obtain flawless rhinoplasty results. Adjusting the nostril size plays an important role in creating a balanced and natural nasal appearance. Modifying the angle of the nose’s bridge so it has a subtle slope will also help create a more natural nasal shape.

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Rhinoplasty Techniques

Open Rhinoplasty

An incision is created on the columella (the narrow bridge between the nostrils that connects the tip of the nose to the base)

The skin is separated from the underlying structural layers of the nose

Cartilage may be added, repositioned, or removed to custom-shape your nose

An open incision allows more visibility of the nasal structures, and in some patients, allows for more extensive adjustments

Closed Rhinoplasty

All incisions are created inside of the nasal cavity, which prevents the development of visible scarring

The skin is released from the cartilage, and the structures of the nose are shaped

The closed technique is typically a shorter procedure and requires a less extensive recovery period

Septoplasty

Septoplasty is designed to treat a deviated septum that causes breathing problems

Deviated septums occur when the cartilage that separates the nasal passages is crooked, obstructing the flow of air in one or both nostrils

A deviated septum can cause difficulties breathing and intense snoring

Septoplasty straightens the septum, restoring breathing function

Precision Rhinoplasty

Precision rhinoplasty uses cutting edge technology to get results that are both functional and aesthetically pleasing

Use of 3D imaging allows for a more detailed preoperative plan to be made

The ultrasonic Piezo device is used to precisely remove bone with less damage to surrounding soft tissues while allowing for more accurate repositioning

Use of the Piezo device allows for shorter operation times and a faster reduction in facial swelling

Rhinoplasty Surgery Concerns

Recovery

You will experience bruising and swelling following your procedure. Ice packs can be applied to help minimise swelling. A nasal cast and splints are used to support the nasal structures during the healing process. Most patients can return to work one week after their procedure. You can resume your regular activities four weeks after your surgery. Major swelling will last six weeks, and minor swelling can last for several more months.

Scars

If an open technique is used for your rhinoplasty, you may develop a small scar at the base of your nose. This scar can easily be covered using makeup and is likely to fade over time. A closed rhinoplasty doesn’t result in any visible scarring.

Pain

An anaesthetic is used during your rhinoplasty to ensure a painless procedure. Swelling during the recovery process can cause some discomfort. Oral pain medication can be used to control any associated discomfort.

*Results may vary from patient to patient. There is no guarantee of outcome.

Patient Testimonials

M.Y.

Kind, caring, good listener and supportive throughout all surgery before and after. Always took the time to listen to my concerns and was open and honest also giving realistic advice. Thank you

A.W.R.

I can only speak very highly of Ivo and have had an excellent experience from my first interaction with him. He spent a significant amount of time discussing what I wanted and how he would achieve this during consultation. This was something other surgeons didn’t do or didn’t give me confidence in them. During the day of the surgery I wasn’t nervous, however Ivo has a very calming persona. The aftercare provided was better than I would have expected and found that should there have been any issues I could have made contact at any time with Ivo. I was unwell unrelated to the surgery, and contacted Ivo late one evening as I was concerned in case the GP needed to be aware of anything. I didn’t expect to hear from him until the following day, however he called that evening to see how I was. This was excellent aftercare beyond my expectations. Ivo has also shared my photos pre and post op.

M.F.

I met Dr Gwanmesia in February 2015. He was immediately very professional, very trustworthy and he certainly knew what he was talking about. In our first consultation, Dr Gwanmesia examined me and I could tell he knew what he was doing as he was focusing on the parts of my nose that were different. After surgery, he met with my family and clearly explained what he had done and gave them the opportunity to ask questions. My family were very impressed with his professionalism, even though this was the first time they had met him. Dr Gwanmesia has done a great job and I am very grateful that I got the right surgeon for me.

Rhinoplasty can provide a number of emotional and physiological benefits for teens and adults. Nose surgery should only be performed on patients with complete facial growth, which usually occurs around 16 years of age for girls and 17 years of age for boys.

The first several days following your procedure may be accompanied with breathing difficulties. Swelling and splints will likely obstruct the nasal passageways. This feeling is only temporary and doesn’t affect your overall health.

Rhinoplasty can address many issues related to a deviated septum and other breathing restrictions. Mr Gwanmesia can assess any problems you have and determine the best plan of action to correct your deviated septum. Some airway obstructions may be caused by the septum and can be treated by septoplasty.